The holder whose full name is Pliske, Timothy Alan,come from Bloomington IN,hold the Dental Anesthesia Permit - GADS license(NO.43000200A) which status is Active.
| Name | Pliske, Timothy Alan |
|---|---|
| License Number | 43000200A |
| License Type | Dental Anesthesia Permit - GADS |
| License Status | Active |
| City | Bloomington |
| State | IN |